Agility Registration

CCDTC Pay Pal Agility Class Registration Page
This form is for registering for Agility classes only
Please be sure to enter all the information correctly in the boxes.
One form per dog/class, please.
Registration does NOT guarantee a slot. Registrations are entered in the class on a first come basis.
Payment to CCDTC MUST be received with registration to confirm a spot.
There is a 4% charge for registering via Credit Card.

Please complete ALL the boxes in this form.

* Indicates required field

Name *

First

Last

Full Address *

Phone Number *

Email *

Dog's Name, Age and Breed *

Select your class: *

4 Week Classes- type name of class: *

Class Price *

Start DATE: mm/dd/yy *

Start TIME: 00:00 *

Coupon Code, if applicable *

If trainee is under 18 yrs of age, enter name of parent or guardian who is authorizing *

Class confirmations will be e-mailed or called shortly before starting date.

Release
By submitting this Registration form, I hereby release and agree to hold harmless the Clermont County Dog Training Club Inc., its instructors, trustees and officers from any personal injury or damage or injury to any dog owned by me, including any liability, cost or expenses associated with the foregoing, arising-out-of, or during training classes sponsored by CCDTC, inc.

In addition, I understand that it is my responsibility as a trainee to keep my dog(s) under control at all times before, during, and after classes, and to refrain from the use of harsh or abusive training methods at any CCDTC Inc. activity. Failure to comply with the above may result in loss of training privileges and forfeiture of monies paid.

Contact Carol Glenzer (Registrar) if you have questions by phone at (513)502-2700 or by email at ccdtcagilityregistrar@gmail.com.

Submit